Objetivos: avaliar a atenção e a memória de doentes com dor pélvica crônica (DPC) ou com síndrome complexa de dor regional (SCDR) e correlacionar os resultados à duração e intensidade da dor, à presença de transtornos do humor e à qualidade do sono comparando esses resultados aos do grupo controle composto por indivíduos sem dor. Métodos: sessenta indivíduos, de ambos os sexos, com idade variando de 18 a 60 anos e com escolaridade maior ou igual a quatro anos foram avaliados através de uma bateria neuropsicológica para avaliação de atenção e memória, escala para avaliação da intensidade da dor, do humor, e qualidade do sono. Os indivíduos foram organizados em três grupos. O grupo DPC, foi constituído de 20 doentes com dor pélvica; o grupo SCDR, de 20 doentes com síndrome complexa de dor regional; e o grupo controle foi constituído de 20 indivíduos sem dor. Resultados: prevaleceram indivíduos com idade entre 29 e 50 anos, casados, com atividade profissional regular e registrada e com escolaridade de nove a 12 anos. 65% eram mulheres. A maioria dos doentes apresentou dor de moderada a intensa com duração de seis a 15 anos e nenhum com duração de menos de cinco anos. Os doentes com dor apresentaram qualidade do sono pior que os indivíduos sem dor (p < 0,001), mais transtorno depressivo maior avaliado pelo PRIME-MD (p = 0,013) e mais alterações no MEEM (p = 0,001). Ocorreu maior número de doentes com DPC e SCDR com déficit na fluência verbal (p = 0,031), atenção concentrada abaixo da média (p = 0,027), e piores resultados no teste RAVLT quando comparados aos indivíduos sem dor. Os indivíduos com dores de moderada a intensa avaliada pela EAVN apresentaram piores escores nos testes de fluência verbal, DSI e teste de atenção concentrada. Neste estudo, o transtorno depressivo maior parece interferir na fluência verbal, na atenção e na memória. Os indivíduos com qualidade de sono ruim apresentaram piores escores nos testes cognitivos, com diferença estatística significativa em relação a população sem dor para os testes DSD, DSI, teste de atenção concentrada, fluência verbal e MEEM. Conclusão: os doentes com dor apresentaram maior déficit de acordo com os testes MEEM, FV, RAVLT e TAC, mais transtorno depressivo maior e qualidade do sono pior em relação à população sem dor. Indivíduos com dores de moderada à intensa avaliados pela EAVN apresentaram os piores escores nos testes de fluência verbal, atenção concentrada e DSI. O Transtorno depressivo maior parece interferir na fluência verbal, na atenção e na memória. Indivíduos com má qualidade de sono apresentaram os piores escores nos testes cognitivos, diferença esta estatisticamente significativa em relação à população sem dor quando avaliados com os testes de atenção concentrada, fluência verbal, MEEM, DSD e DSI . / Objectives: to assess attention and memory of patients who are chronic pelvic pain holders (CPP) and/or Complex Regional Pain Syndrome (CRPS) holders, and to correlate the results to the characteristics of the duration and intensity of the pain, and to the mood and to the sleep pattern disorders, by comparing such results to the control group of pain-free individuals. Methods: 35% male and 65% female individuals, 18 to 60 years old, with schooling higher or equal to four years, were evaluated through a series of neuropsychological tests directed to assess the attention and memory, pain intensity, mood, and sleep quality. They were organized in three groups: 20 Pelvic Pain Patients (CPP Group); 20 Complex Regional Pain Syndrome patients (CRPS Group); 20 pain-free individuals (Control Group). Results: there was prevalence of 29 to 50 year-old individuals with regular and formal professional activity and schooling of 9 to12 years. Most of them presented moderate to severe pain during the last 6 to 15 years (none of them during less than five years). Pain patients presented lower quality sleep than individuals pain free (p < 0, 001), more Major Depression Disorder assessed by PRIME-MD (p = 0, 013) and more changes in MEEM (p = 0, 001). There was more Verbal Fluency Deficit (p = 0,031), average Attention (p = 0,027) and lower scores in RAVLT test in CPP and CRPS groups than in non-pain individuals. The scores in the tests of Verbal Fluency, DSI and Attention were lower in patients with moderate to severe pain. Major Depression Disorder was related to Verbal Fluency, Attention and Memory impairment. The cognitive tests were significantly different in individuals with low-quality sleep than in the normal population. Conclusion: Pain patients showed greater deficit in the MEEM, Verbal Fluency Test, RAVLT, and in the Attention Test, and also Major Depression Disorder and lower quality of sleep when compared to the non-pain individuals. The Verbal Fluency, DSI and Attention scores were lower in patients with moderate to severe pain. Major Depression Disorder seems to interfere with Verbal Fluency, Attention and Memory. The cognitive function evaluated with DSD, DSI, Concentrated Attention, Verbal Fluency and MEEM tests score lower in individuals with low-quality sleep, and the difference was statistically significant to the normal population

Diss. (sammanfattning) Linköping : Linköpings universitet, 2007. / Härtill 4 uppsatser.

OBJECTIVES: This study aims to explore the relationships between preoperative psychosocial factors in relation to postoperative chronic pelvic pain (CPP) in adolescents and young women with endometriosis, which is a significant public health concern. As a pilot sample, there is large need to present preliminary data exploring the biopsychosocial correlates and possible predictors of central sensitization and CPP, which remains non-existent in the realm of adolescents and young adults with CPP secondary to endometriosis. METHODS: Eligible candidates included patients 12-22 years old who were diagnosed with CPP after laparoscopic confirmation of endometriosis. 25 successfully enrolled subjects had pre-surgical information obtained from baseline surveys and underwent a postoperative sensory protocol to assess mechanical allodynia, pressure pain sensitivity, central sensitization, and a self-report measure of pain sensitivity. Correlation calculations were conducted between pre-surgical factors (pain intensity, pain catastrophizing (PCS), and quality-of-life (from SF-36)) and post-surgical factors (pain and sensitivity thresholds as measured by QST and the PSQ) in the subject population as a whole, and in two population subgroups: those exhibiting central sensitization and those who are not. One-way ANOVA calculations and one sample t-tests were conducted to compare differences between cohorts and between abdominal and control sites for various study parameters. RESULTS: 6 of 25 (24%) subjects experienced a wind-up phenomenon during the temporal summation for pain test, serving as a surrogate for central sensitization. The differences in study parameters that this group (+CS) exhibited in comparison to the –CS group, failed to reach significance in all study parameters. Both cohorts exhibited positive correlations between pre-operative disability due to bodily pain (SF-36) and sensitivity of the abdomen, as well as negative correlations between disability due to bodily pain and pressure pain thresholds of the abdomen. The +CS cohort also exhibited a negative correlation between disability due to bodily pain and pinprick pain scores, a positive correlation between role limitations due to physical health (SF-36) and sensitivity of the abdomen, and a positive correlation between pain catastrophizing and sensitivity of the abdomen. As a whole, the subject population had significantly higher levels of catastrophizing than published means. In all cohorts, pressure pain thresholds of the abdomen were significantly lower than the control values, and PSQ-minor scores were significantly higher than published means. CONCLUSIONS: Results suggest the importance of pre-operative pain and psychosocial functioning on pain outcomes, particularly when considering subjects presenting with central sensitization, in young women with CPP secondary to endometriosis. The results indicate the need for a larger sample as well as established control values to further explore the relationships between these variables.

OBJECTIVES: This study aims to better understand the relationship between psychosocial factors and the development of chronic pelvic pain (CPP) in cases of adolescent endometriosis, specifically mood disorders, pain catastrophizing and quality of life, and to detect the development of central sensitization within this population. METHODS: Eligible candidates were patients between 14 and 22 years old with confirmed diagnosis of endometriosis and chronic pelvic pain who were enrolled in the Women’s Health Study: From Adolescence to Adulthood through the Boston Center for Endometriosis (BCE) and Boston Children’s Hospital. The administration of quantitative sensory testing (QST) to assess mechanical touch perception, pressure pain sensitivity and temporal summation was performed on 48 subjects. Pre-surgical baseline surveys, which included pain catastrophizing and quality of life measures, were obtained from the BCE. Record of diagnosed mood disorder (anxiety/depression) was obtained through medical chart review. Pearson correlations between QST measures, pain catastrophizing, presence of mood disorders or central sensitization and pre-surgical pain scores were conducted. One-way ANOVA calculations, and one sample and paired t-tests were conducted to gain further understanding of these variables as they relate to groups within the cohort. RESULTS: Regarding QST measures, 23 subjects (47.9%) produced a wind-up phenomenon from temporal summation during QST administration, which serves as a surrogate for the presence of central sensitization (+CS). Pressure sensation and pain scores correlated at all test sites (lower and upper abdomen, as well as finger control site) and wind-up phenomenon correlated in the lower and upper abdomen throughout the cohort. For the presence of mood disorders, anxiety and depression were equally distributed across the +CS and –CS groups. Review of pre-surgical pain scores and pain catastrophizing (PCS) within the cohort had significant correlations between pre-surgical pain and PCS subsets of rumination and magnification. PCS total and subset scores also correlated to +CS. One-way ANOVA calculations showed the cohort as a whole presented with clinically significant helplessness. CONCLUSIONS: Results encourage further investigation of the relationship between endometriosis, comorbid conditions, environmental factors and the development of CPP within the adolescent population. More detailed data regarding mental health and documentation of condition progression, as well as establishment of health control values and sample growth are encouraged for the continued progress of this project. / 2020-07-03T00:00:00Z

Objetivos: avaliar a atenção e a memória de doentes com dor pélvica crônica (DPC) ou com síndrome complexa de dor regional (SCDR) e correlacionar os resultados à duração e intensidade da dor, à presença de transtornos do humor e à qualidade do sono comparando esses resultados aos do grupo controle composto por indivíduos sem dor. Métodos: sessenta indivíduos, de ambos os sexos, com idade variando de 18 a 60 anos e com escolaridade maior ou igual a quatro anos foram avaliados através de uma bateria neuropsicológica para avaliação de atenção e memória, escala para avaliação da intensidade da dor, do humor, e qualidade do sono. Os indivíduos foram organizados em três grupos. O grupo DPC, foi constituído de 20 doentes com dor pélvica; o grupo SCDR, de 20 doentes com síndrome complexa de dor regional; e o grupo controle foi constituído de 20 indivíduos sem dor. Resultados: prevaleceram indivíduos com idade entre 29 e 50 anos, casados, com atividade profissional regular e registrada e com escolaridade de nove a 12 anos. 65% eram mulheres. A maioria dos doentes apresentou dor de moderada a intensa com duração de seis a 15 anos e nenhum com duração de menos de cinco anos. Os doentes com dor apresentaram qualidade do sono pior que os indivíduos sem dor (p < 0,001), mais transtorno depressivo maior avaliado pelo PRIME-MD (p = 0,013) e mais alterações no MEEM (p = 0,001). Ocorreu maior número de doentes com DPC e SCDR com déficit na fluência verbal (p = 0,031), atenção concentrada abaixo da média (p = 0,027), e piores resultados no teste RAVLT quando comparados aos indivíduos sem dor. Os indivíduos com dores de moderada a intensa avaliada pela EAVN apresentaram piores escores nos testes de fluência verbal, DSI e teste de atenção concentrada. Neste estudo, o transtorno depressivo maior parece interferir na fluência verbal, na atenção e na memória. Os indivíduos com qualidade de sono ruim apresentaram piores escores nos testes cognitivos, com diferença estatística significativa em relação a população sem dor para os testes DSD, DSI, teste de atenção concentrada, fluência verbal e MEEM. Conclusão: os doentes com dor apresentaram maior déficit de acordo com os testes MEEM, FV, RAVLT e TAC, mais transtorno depressivo maior e qualidade do sono pior em relação à população sem dor. Indivíduos com dores de moderada à intensa avaliados pela EAVN apresentaram os piores escores nos testes de fluência verbal, atenção concentrada e DSI. O Transtorno depressivo maior parece interferir na fluência verbal, na atenção e na memória. Indivíduos com má qualidade de sono apresentaram os piores escores nos testes cognitivos, diferença esta estatisticamente significativa em relação à população sem dor quando avaliados com os testes de atenção concentrada, fluência verbal, MEEM, DSD e DSI . / Objectives: to assess attention and memory of patients who are chronic pelvic pain holders (CPP) and/or Complex Regional Pain Syndrome (CRPS) holders, and to correlate the results to the characteristics of the duration and intensity of the pain, and to the mood and to the sleep pattern disorders, by comparing such results to the control group of pain-free individuals. Methods: 35% male and 65% female individuals, 18 to 60 years old, with schooling higher or equal to four years, were evaluated through a series of neuropsychological tests directed to assess the attention and memory, pain intensity, mood, and sleep quality. They were organized in three groups: 20 Pelvic Pain Patients (CPP Group); 20 Complex Regional Pain Syndrome patients (CRPS Group); 20 pain-free individuals (Control Group). Results: there was prevalence of 29 to 50 year-old individuals with regular and formal professional activity and schooling of 9 to12 years. Most of them presented moderate to severe pain during the last 6 to 15 years (none of them during less than five years). Pain patients presented lower quality sleep than individuals pain free (p < 0, 001), more Major Depression Disorder assessed by PRIME-MD (p = 0, 013) and more changes in MEEM (p = 0, 001). There was more Verbal Fluency Deficit (p = 0,031), average Attention (p = 0,027) and lower scores in RAVLT test in CPP and CRPS groups than in non-pain individuals. The scores in the tests of Verbal Fluency, DSI and Attention were lower in patients with moderate to severe pain. Major Depression Disorder was related to Verbal Fluency, Attention and Memory impairment. The cognitive tests were significantly different in individuals with low-quality sleep than in the normal population. Conclusion: Pain patients showed greater deficit in the MEEM, Verbal Fluency Test, RAVLT, and in the Attention Test, and also Major Depression Disorder and lower quality of sleep when compared to the non-pain individuals. The Verbal Fluency, DSI and Attention scores were lower in patients with moderate to severe pain. Major Depression Disorder seems to interfere with Verbal Fluency, Attention and Memory. The cognitive function evaluated with DSD, DSI, Concentrated Attention, Verbal Fluency and MEEM tests score lower in individuals with low-quality sleep, and the difference was statistically significant to the normal population

Objectives: To explore the pain mechanism and the origin of the pain and to evaluate a short-term pain relief treatment in women suffering from CPP persisting after childbirth in order to enable physiotherapeutic intervention. Material and methods: Thirty-six parous women with chronic pelvic pain persisting after childbirth were recruited at the Department of Physiotherapy, SundsvallHospital and by advertisements in newspapers and 29 parous women without chronic pelvic pain were recruited from an organized gynaecological screening at a midwifery surgery. All women were provoked by intra-pelvic palpation of 13 predetermined intra-pelvic landmarks. The provoked pain distribution was expressed in pain drawings and the pain intensity verbally on a Likert scale.Also, in a randomised controlled trial the 36 women with chronic pelvic pain were allocated to bilateral injection treatment with either triamcinolone or saline solutions, given once on the ischial spine with follow-up after four weeks. Results: Referred pain provoked on intra-pelvic landmarks follows a specific pattern. In general, pain provoked by palpation of the posterior intra-pelvic landmarks was mostly referred to the sacral region and pain provoked by palpation of the ischial and pubic bones was mostly referred to the groin and pubic regions. In women with chronic pelvic pain the provoked pain distribution area and pain intensity were magnified as compared to women without chronic pelvic pain. In the clinical trial decreased pain intensity, decreased distribution of pain and improved physical function was achieved among the triamcinolone treatment group as compared to the saline treatment group. Also, a positive correlation was shown between reduced pain intensity and improved function. Conclusions: Referred pain patterns provoked on intra-pelvic landmarks in women with chronic pelvic pain persisting after childbirth are consistent with sclerotomal sensory innervations and indicates allodynia and central sensitisation. This suggests that pain mapping can be used to evaluate and confirm the pain experience and contribute to diagnosis. Also, the pain intensity provoked by stimulation of the intra-pelvic landmarks is suggested to be useful to differentiate women with chronic pelvic pain from those without. Corticosteroid treatment to the ischial spine resulted in decreased pain and increased function.

Um conjunto de evidências sugere que a síndrome da congestão pélvica está associada às varizes pélvicas. A congestão pélvica é explicada em muitos casos pela insuficiência das veias ovarianas em drenar o fluxo venoso dos ovários. No presente estudo, realizou-se a avaliação clínica e técnica do tratamento endovascular percutâneo na síndrome da congestão pélvica através da técnica de embolização. Foram tratadas 113 mulheres, das quais 100 foram acompanhadas pelo período de um ano e a análise dos resultados foi baseada nessa amostra. Os resultados clínicos foram baseados na avaliação da sintomatologia durante o período de acompanhamento, com a utilização da escala visual analógica. A avaliação técnica baseou-se no sucesso da realização dos procedimentos e na avaliação das complicações. As pacientes selecionadas com diagnóstico clínico da síndrome foram submetidas ao estudo angiográfico que revelou insuficiência das veias ovarianas previamente ao tratamento por embolização. Obteve-se sucesso técnico em todos os casos, caracterizado pela possibilidade de realização do cateterismo seletivo das veias ovarianas e ilíacas internas com embolização das mesmas. A remissão total dos sintomas foi observada em 37 pacientes (32.7%) e parcial em 63 pacientes (55.4%). Foi observado significativo alívio dos sintomas (p < 0,001), confirmados pela redução dos valores obtidos através da escala analógica visual. A principal complicação foi a migração do agente embolizante metálico, no entanto, com resolução endovascular de todos os casos e sem repercussão clínica. O tratamento endovascular das varizes pélvicas por meio da embolização apresentou resultados satisfatórios em relação aos sintomas apresentados e mostrou-se como método seguro e com baixos índices de complicação. / A great body of evidence suggests that the pelvic congestion syndrome is associated to female varicocile. Pelvic congestion is explained in many cases by ovarian and internal iliac vein insufficiency. The endpoint of the study was the measurement of clinical outcomes and technical success of transcatheter embolotherapy in order to obtain relief of symptoms. The treatment group included 113 patients but only 100 were submitted for a follow up period. We had initial technical success rate of the ovarian and internal iliac vein embolization in all cases. It was used a visual analog scale (VAS) during the 12 months follow up period. The selected patients with the diagnosis of the syndrome were submitted to an angiographic evaluation to reveal ovaric and internal iliac vein insufficiency previous embolization. The technical success was determined by the ability to successfully embolize the ovarian and internal ilac varices and the clinical evaluation by the improvement of symptoms after the following period. A total relief of symptoms was observed in 37 patients (32.7%) and partial relief in 63 (55.4%). Nevertheless, it was seen an important general relief of every symptom (p < 0.001), as well a reduction of the values. The main complication was coil distal embolization, nevertheless, all of them were solved by endovascular approach without clinical repercussion. The transcatheter embolotherapy of the pelvic congestion syndrome provides significant symptomatic improvement, initial technical success and showed no significant long-term complications.

Um conjunto de evidências sugere que a síndrome da congestão pélvica está associada às varizes pélvicas. A congestão pélvica é explicada em muitos casos pela insuficiência das veias ovarianas em drenar o fluxo venoso dos ovários. No presente estudo, realizou-se a avaliação clínica e técnica do tratamento endovascular percutâneo na síndrome da congestão pélvica através da técnica de embolização. Foram tratadas 113 mulheres, das quais 100 foram acompanhadas pelo período de um ano e a análise dos resultados foi baseada nessa amostra. Os resultados clínicos foram baseados na avaliação da sintomatologia durante o período de acompanhamento, com a utilização da escala visual analógica. A avaliação técnica baseou-se no sucesso da realização dos procedimentos e na avaliação das complicações. As pacientes selecionadas com diagnóstico clínico da síndrome foram submetidas ao estudo angiográfico que revelou insuficiência das veias ovarianas previamente ao tratamento por embolização. Obteve-se sucesso técnico em todos os casos, caracterizado pela possibilidade de realização do cateterismo seletivo das veias ovarianas e ilíacas internas com embolização das mesmas. A remissão total dos sintomas foi observada em 37 pacientes (32.7%) e parcial em 63 pacientes (55.4%). Foi observado significativo alívio dos sintomas (p < 0,001), confirmados pela redução dos valores obtidos através da escala analógica visual. A principal complicação foi a migração do agente embolizante metálico, no entanto, com resolução endovascular de todos os casos e sem repercussão clínica. O tratamento endovascular das varizes pélvicas por meio da embolização apresentou resultados satisfatórios em relação aos sintomas apresentados e mostrou-se como método seguro e com baixos índices de complicação. / A great body of evidence suggests that the pelvic congestion syndrome is associated to female varicocile. Pelvic congestion is explained in many cases by ovarian and internal iliac vein insufficiency. The endpoint of the study was the measurement of clinical outcomes and technical success of transcatheter embolotherapy in order to obtain relief of symptoms. The treatment group included 113 patients but only 100 were submitted for a follow up period. We had initial technical success rate of the ovarian and internal iliac vein embolization in all cases. It was used a visual analog scale (VAS) during the 12 months follow up period. The selected patients with the diagnosis of the syndrome were submitted to an angiographic evaluation to reveal ovaric and internal iliac vein insufficiency previous embolization. The technical success was determined by the ability to successfully embolize the ovarian and internal ilac varices and the clinical evaluation by the improvement of symptoms after the following period. A total relief of symptoms was observed in 37 patients (32.7%) and partial relief in 63 (55.4%). Nevertheless, it was seen an important general relief of every symptom (p < 0.001), as well a reduction of the values. The main complication was coil distal embolization, nevertheless, all of them were solved by endovascular approach without clinical repercussion. The transcatheter embolotherapy of the pelvic congestion syndrome provides significant symptomatic improvement, initial technical success and showed no significant long-term complications.

Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is a prevalent, refractory pelvic pain condition characterized by pain in the pelvic area and urinary frequency, largely unresponsive to medical interventions. This study used multiple mediations to test the associations of validated pain appraisal and behavioural coping strategies between pain and quality of life. Patients (N = 175) were recruited from tertiary care urology clinics and completed questionnaires. Exploratory factor analyses were conducted on four individual measures (Chronic Pain Coping Inventory, Survey of Pain Attitudes – Control subscale, Center for Epidemiologic Studies Depression Scale, and Pain Catastrophizing Scale), then on the empirically derived factors that produced four factors to be used in regression and multiple mediation models: illness-focused behavioural coping, catastrophizing, wellness-focused behavioural coping, and depression. In regressions, CP/CPPS patient symptoms (p < .01), illness-focused behavioural coping (p < .01) and wellness-focused behavioural coping (p < .05) predicted physical quality of life, while catastrophizing (p < .01) and illness-focused behavioural coping (p < .05) predicted mental quality of life. Mediation analyses showed that illness-focused behavioural coping strategies partially mediated the relationship between pain and physical quality of life, whereas catastrophizing and illness-focused behavioural coping strategies both fully mediated the relationship between pain and mental quality of life. These results identify catastrophizing and illness-focused coping as key psychosocial targets for interventions for patient quality of life in CP/CPPS. / Thesis (Master, Psychology) -- Queen's University, 2013-08-27 17:07:11.853

A dor pélvica crônica é uma condição comum e debilitante, com etiologia complexa e pouco compreendida, usualmente resultante da interação de vários sistemas. Talvez por isso, mesmo após muita investigação, seja diagnosticada com dificuldade. Ademais, frequentemente, o tratamento limita-se ao alívio temporário e insatisfatório dos sintomas. A condição pode comprometer a capacidade para executar determinadas tarefas físicas, seja pela própria dor, pelo medo de apresentarem dor, pelos sintomas depressivos ou ansiosos, ou mesmo pelas limitações autonômicas apresentadas. O objetivo do estudo foi avaliar o desempenho físico de mulheres com dor pélvica crônica e identificar as variáveis clínicas associadas. Foram incluídas 162 mulheres, 81 portadoras de dor pélvica crônica atendidas no ambulatório especializado do HC-FMRP-USP e 81 mulheres saudáveis recrutadas entre as acompanhantes das pacientes. Foram realizados os testes de Caminhada de 6 minutos, de Alcance Funcional, Sentar e Levantar e, Pegar a Caneta. Todos os instrumentos utilizados foram traduzidos e validados para aplicação no Brasil. O projeto, juntamente com o termo de consentimento livre e esclarecido, foi aprovado no CEP-HC-FMRPUSP. Houve diferença estatística (p> 0,01) em todos os testes de performance. A média (± desvio padrão) nos testes, no grupo saudável e dor pélvica crônica, respectivamente, foram: 36,35 cm (±5,8) e 32,40 cm (±6,8) no teste de alcance funcional, 10,00 s (±2,0) e 13,46 s (±6,0) no teste de sentar e levantar, 2,50 s (±0,5) e 3,51 s (±1,7) no teste de pegar a caneta, e 536,97 m (±47,5) e 487,36 m (±65,8) no teste de caminhada de 6 minutos. O estudo demonstrou, portanto, que as mulheres com dor pélvica crônica possuem desempenho físico inferior ao de mulheres saudáveis e que este está independentemente associado com a cinesiofobia e a própria dor pélvica crônica e, eventualmente, com sintomas depressivos e com a qualidade de vida / Chronic pelvic pain is a common and debilitating condition, with complex and poorly understood etiology, usually resulting from the interaction of multiple systems. Maybe that is why, even after much research, is diagnosed with difficulty. Moreover, treatment is often limited to temporary and unsatisfactory relief of symptoms. The condition can compromise the ability to perform certain physical tasks, either by own pain, fear of pain, depressive or anxiety symptoms, or even by the autonomic limitations presented. The aim of the study was to evaluate the physical performance of women with chronic pelvic pain. Four physical performance tests (Functional Reach test; Sit-toStand test; Pen pick up test and 6-minute walk test) were conducted with 162 women, 81 with chronic pelvic pain treated at specialized clinics of the HC-FMRP-USP and 81 healthy women recruited from the caregivers. All instruments were validated and translated for Brazilian application. The project, along with the free and informed consent form was approved at the CEPHC-FMRP-USP. There was a statistical difference (p> 0.01) in all of the performance tests. The average (± standard deviation), in healthy group and chronic pelvic pain respectively, was: 36.35 cm (±5.8) and 32.40 cm (±6.8) in the functional reach test, 10.00 sec (±2.0) and 13.46 sec (±6.0) in the sit-to-stand test, 2.50 sec (±0.5) and 3.51 sec (±1.7) in the pen pick up test, 536.97 m (±47.5) and 487.36 m (±65.8) in the 6-minute walk test. The study showed, therefore, that women with chronic pelvic pain have lower physical performance than healthy women and that it is independently associated with kinesiophobia and with chronic pelvic pain and, eventually, with depressive symptoms and quality of life